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Washington, DC rates for MS-DRG 173

Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,635.10 / $72,395.00 / $99,304.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,324.97 / $64,730.75 / $121,722.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,117.56 / $54,369.90 / $95,375.76